Individual
DR. NICOLE MAHEALANI LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
321 N KUAKINI ST STE 308, HONOLULU, HI 96817-2360
(808) 440-6852
(808) 440-6878
Mailing address
321 N KUAKINI ST STE 308, HONOLULU, HI 96817-2360
(808) 440-6852
(808) 440-6878
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
DOS-1825
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
826175
—
HI
01
—
990288045
NON-PROFIT
HI
Enumeration date
05/12/2014
Last updated
01/13/2023
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